Progress in surgical treatment of hepatocellular carcinoma.
10.3760/cma.j.issn.0529-5815.2016.02.016
- Author:
Keyu LI
1
;
Lianxin LIU
;
Dalong YIN
Author Information
1. Department of Hepatic Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China.
- Publication Type:Journal Article
- MeSH:
Carcinoma, Hepatocellular;
surgery;
Hepatectomy;
Humans;
Ligation;
Liver Neoplasms;
surgery;
Liver Transplantation;
Portal Vein;
surgery;
Survival Rate;
Treatment Outcome
- From:
Chinese Journal of Surgery
2016;54(2):148-152
- CountryChina
- Language:Chinese
-
Abstract:
The surgical treatment of hepatocellular carcinoma have advanced greatly in recent years: associating liver partition and portal vein ligation for staged hepatectomy can bring hope and relief to patients with advanced liver cancer and less future liver remnant; the application range of laparoscopic hepatectomy and robotic hepatectomy were amplified; hepatectomy following anatomic or non-anatomic direction should be decided by particular situations; the precise preoperative assessment of liver reserve function ensured the success of extended hepatectomy; the further discussion of United Network for Organ Sharing criteria for liver transplantation made the appearance of University of California at San Francisco, Up-to-seven and Hangzhou criteria; bridge therapy can decrease tumor progression and the dropout rate from the liver transplantation waiting list; downstaging treatment is used in selected patients with more advanced liver cancer who are beyond the accepted transplant criteria to acquire the chance of liver transplantation and increase survival rates.
